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Page 52 of 63
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Form 36
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Form 30D
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Average Weekly Wage, Maximum Compensation Rate, and Cost-of-Living Adjustments
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Connecticut General Statute : Section 38a-470
Insurance Liens on Awards : Lien on workers’ compensation awards for insurers. Notice of lien.
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New and Revised Forms
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Connecticut General Statute : Section 38a-1013
Private Employer Workers’ Compensation Group Self-Insurance : Investments.
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2023 Official Connecticut Fee Schedule for Hospitals and Ambulatory Surgical Centers effective April 1, 2023
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Report Workers' Compensation Fraud
Workers' compensation fraud is a felony in Connecticut. Contact the state's Workers' Compensation Fraud Unit to report suspected workers' compensation fraud.
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Workers' compensation fraud is a felony in Connecticut. Contact the state's Workers' Compensation Fraud Unit to report suspected workers' compensation fraud.
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New Building Permit Forms Available
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Official Connecticut Practitioner Fee Schedule - 1999 CPT Update Effective April 1, 1999
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Form WCR-1, rehabilitation program application form.
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Forms : Voluntary Agreement Forms
Voluntary Agreement (VA) and Filing Status And Exemption (1A) forms.
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WCC Welcomes New Administrative Law Judges - Shanique D. Fenlator and Benjamin Blake
The Workers' Compensation Commission is pleased to welcome Shanique D. Fenlator and Benjamin Blake as our newest Administrative Law Judges.
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Opinions pertaining to Sec. 31-300. Awards, interest and attorney’s fees.